This is to inform you that on (date), I (bought, leased, rented, etc) a (name of the
product, with serial/model number, or name of the service) at (name of store, location,
I am sorry to inform you that your product (or service) is not accessible to me. (Include
a short statement about your disability, focusing on difficulties you have with products
rather than a medical diagnosis.) I am disappointed because I cannot use (name the feature
or function causing the problem) because (describe what happens or does not happen).
Because your product (or service) is inaccessible, I am facing lot of trouble (describe
how the product's inaccessibility affects your ability to work, etc).
I would appreciate if you take appropriate action (state the specific action you want -
money back, charge card credit, repair or modification, exchange, etc.). I am enclosing
copies of my records (include receipts, guarantees, warranties, canceled checks,
contracts, model and serial numbers, etc).
I shall wait until (set a time limit) before seeking additional help from a disability
rights. Kindly contact me at the above address or by phone at (number). I look forward to
your reply and to a speedy resolution to my accessibility problem.